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&13-780-0020 City of Zephyrhiiis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ? 'fj/ Z b Phone Contact for Permitting ( o / 7 ) �a 7 v�3J TV <br /> 1 € € it Z € € € € it € <br /> Owner's Name A eC h W Owner Phone Number <br /> Owner's Address ('� KI 6a5 a e- Wa &1 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F-- <br /> JOB ADDRESS �ti(/ G LOT# <br /> SUBDIVISION PARCEL ID# !7f•ZL'Z�' O •00 ZCO•(,Cif <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT = SIGN = ®� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAM/E'L• e�] STEEL = <br /> DESCRIPTION OF WOR - S boa,- 1Nu Gf O im- <br /> BUILDING SIZE J SO FOOTAGE Z b b Z HEIGHT <br /> E]KBUILDING $ 2 O D VALUATION OF TOTAL CONSTRUCTION Z I V 647 <br /> =ELECTRICAL $ AMP SERVICE d PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY &05-6-007*2;n 5;f4'N«S <br /> SIGNATURE REGISTERED N FEE CURREN L Y/CN- <br /> Address GAGS /v License# 1.�✓®.�/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# �— <br /> � tEiltl€ i4ii€ I€ It � tl€ I< 1< € # € € T � € € IEi € iJiil€ Iltil€ � I € Ei€ € € LiIE € iE € E EtEI€ Ili€ IEIt � €_I€ € 1€ € € Irl€ € �=. <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />